I am 20 years old and have never ejaculated. for about a year now, I've had a rise in libido and have managed to pre-ejaculate but never ejaculate completely. I've never had a wet dream except once, but I think it might have just been pre-ejaculation as well.
Some background information:
Around the age of 13, I started to pre-ejaculate and to have some sexual desire, but at the same time I was diagnosed with a neurological/psychological disorder. for the next couple years i had depression and never masturbated nor ejaculated. When I was 16 I started taking antibiotics, zoloft, and antipsychotics. At 18 i stopped taking the medication (I did consult it with my doctor), and i started worrying about my sexual activity. I went to see an urologist around a year ago, but he just told me it was psychological and that I needed to go back on zoloft.
I do believe there might be a psychological or even neurological problem, but I also believe there is something else. For the last couple years there have been times where it hurts to pee (for a couple days every 1 or 2 months), and lately I've noticed it hurts to pee when I have and erection, or when I try to ejaculate when masturbating.